Nutrition for Growth (N4G) commitment to 2020
1. A total of 147 billion Tanzania shillings committed for nutrition interventions at all levels
2. Allocate a minimum budget for nutrition interventions in the plans and budget of regions and all local government authorities (municipal and district councils), calculated based on the number of children under 5 years in each council. Each child will be allocated TZS 500 (~ USD 0.23) in financial year 2016/17 and this amount will be gradually increased.
1. There has been increase in budget allocated for nutrition at region and council level from 11 billion 2017/2018 to 16.7 billion 2019/2020
2. The Government through PO-RALG issued a directive to Councils to develop their annual budget basing on the number of children under 5 years in the respective council. For financial year 2019/20, the councils were required to allocateTshs.1,000 per child under five years in their annual budget (Domestic resources) to cater for nutrition specific interventions.
Although the original language of commitment is vague in terms of time spans, budget allocations for nutrition have increased over time and the amount allocated at local level is currently double that of the 2016-17 target.
1. Reducing prevalence of stunting by 15% by 2015.
2. Reducing wasting below 5% by 2015.
3. Increase exclusive breastfeeding from 50% to 60% by 2015.
4. Reduce prevalence of anaemia among pregnant women from 48% to 35% by 2015.
1. The prevalence of stunting reduced from 42% (TDHS 2010) to 34% (TDHS 2016) According to 2018 Tanzania National Nutrition Survey using SMART Methodology, further reduction tod to 31.8%
2. Prevalence of wasting was reduced from 8% in 1992 to 5% in 2015 (TDHS, 2016) The2018 Tanzania National Nutrition Survey, shows a further reduction to 3.5%.
3. The proportion of children aged 0 to 5 months receiving exclusive breastfeeding increased from 29% (TDHS 1996) to 59% (TDHS2016). According to Tanzania National Nutrition Survey 2018, the rate of exclusive breastfeeding currently stands at 57.8%.
4. The prevalence of anaemia among women of reproductive age was reduced from 48% in 2005 to 45% in 2016. The prevalence of anaemia is higher among adolescent girls aged 15-19 years (47%)
Basis for assessment: Three out of four targets were met or almost met by the target year, although anaemia prevalence did not decrease significantly
Revise the National Food and Nutrition Policy and prepare a 10-year implementation strategy (2015/2016–2025/2026). Include nutrition in sector specific strategies or plans.
- The National Food and Nutrition Policy of 1992 has been reviewed and submitted to the high level Government Management for approval process.
- The National Multisectoral Nutrition Action Plan (NMNAP) 2016-21 was developed using an evidence-based and inclusive process, led by PMO and coordinated by TFNC. The NMNAP was adopted by the High Level Steering Committee on Nutrition, and launched by the Prime Minister. It includes costed plans to scale-up nutrition specific and nutrition sensitive interventions, and to strengthen the enabling environment for nutrition. It also includes a Common Results, Resources and Accountability Framework (CRRAF) to track progress towards annual commitments, both in terms of nutrition results and actual spending against planned budget.
Sufficient progress made towards commitment
Carry out a Public Expenditure Review on nutrition.
- Nutrition Public Expenditure review 2014 -2016 (PER) was conducted to review the allocation and expenditures for nutrition interventions. The report was completed in October 2018.Multiple stakeholders where involved to provide technical and financial support in planning, data collection and analysis.
- The exercise was coordinated by the Ministry of Finance and Planning with support from UNICEF.
Commitment successfully completed in October 2018.
Increase awareness on nutrition at all levels, rolling out nutrition interventions and resource mobilization. Monitoring meetings for focal ministries are conducted by the Nutrition Secretariat every two months. Nutrition steering committee which consists of Secretaries of the ministries and District secretaries were conducted to brief the activities. It will be conducted every 3 months.
- In the reporting period, the country has conducted the 5thJoint Multisectoral Nutrition Review meeting to monitor progress in the implementation of nutrition interventions in the country.
- Convened adolescent meeting to raise awareness on issues around adolescent nutrition in Tanzania, and set priorities in that regard.
- Initiated the mid-term review of the implementation of the National Multisectoral Nutrition Action Plan 2016 – 2021. The review will jointly assess the progress, opportunities, challenge and strategies to ensure NMNAP targets are realized by 2021.
- Continues to monitor implementation of nutrition interventions through bi-annual and annual Bottleneck Analysis (BNA) and multisectoral Nutrition Scorecards.
- Initiated the development of Multisectoral Nutrition Information System (MNIS) in DHIS2 to harmonize data from other DHIS2 system in the Country.
- Strengthen coordination of the implementation of the NMNAP through regular thematic meetings for the NMNAP.
- Continues to strengthen multisectoral coordination through High Level Steering Committee for Nutrition meeting, and Regional/ Council Steering Committees for Nutrition quarterly meeting.
Awareness building and implementation of the national nutrition plan is ongoing.